微钻清除甲母质、甲沟重建治疗驻港官兵嵌甲型甲沟炎的疗效  

Effect of micro-drilling to remove nail matrix, reconstruction of sulcus in treatment of ingrown paronychia of Hong Kong Garrison

作　　者：卢道云 徐林玉 陆海波[2,3] 张斌 李冬云 黄强 LU Daoyun;XU Linyu;LU Haibo;ZHANG Bin;LI Dongyun;HUANG Qiang(Department of Orthopaedics,the Naval Hospital of Eastern War Zone of PLA,Zhoushan 316000,China;Department of Orthopedics,the Fourth Medical Center,the General Hospital of PLA;The Hong Kong Garrison Hospital of PLA;Central Hospital of Dinghai District,Zhoushan City)

机构地区：[1]解放军东部战区海军医院骨科,浙江舟山316000 [2]解放军总医院第四医学中心骨科 [3]解放军驻香港部队医院 [4]舟山市定海区中心医院

出　　处：《西北国防医学杂志》2019年第9期549-552,共4页Medical Journal of National Defending Forces in Northwest China

基　　金：全军医学科技青年培育项目(16QNP143);解放军总医院临床科研扶持基金(2016FC-304Z-CXYY-01)

摘　　要：目的:探讨微钻清除甲母质、甲沟重建治疗驻港官兵嵌甲型甲沟炎(ingrown toenails paronychia,ITP)的临床疗效。方法:回顾性分析2015-12-06~2018-12-06 130例ITP患者的临床资料,根据治疗时间分为A、B两组,每组65例。A组采用微钻清除甲母质、甲沟重建术;B组采用部分拔甲术,比较两组创面愈合、术后换药疼痛感、感染及复发情况。结果: A组创面红肿时间、创面愈合时间、一次性治愈率、换药次数均显著优于B组( P <0.05);随访 3个月,A组术后换药疼痛感、感染以及复发率明显低于B组( P <0.05)。结论:微钻清除甲母质、甲沟重建治疗ITP病灶清除彻底,治愈率高,愈合快,复发率低,值得推广。Objective:To investigate the therapeutic efficacy of micro-drilling to remove nail matrix,reconstruction of sulcus for ingrown toenails paronychia(ITP)of Hong Kong Garrison.Methods:The clinical data of 130 patients with ITP from December 2015 to December 2018 were analyzed retrospectively,the patients were divided into group A and group B,65 cases in each group.Group A were treated with micro-drill removal of nail matrix,reconstruction of sulcus,group B were treated with partial nail extraction.The wound healing,postoperative dressing pain,infection and recurrence were compared between the two groups.Results:The wound swelling time,healing time,one-time cure rate and dressing change times of patients in group A were significantly better than those in group B,the differences were statistically significant(P <0.05).After three months follow-up,postoperative pain,infection and recurrence,the incidence in group A were significantly lower than those of group B,the differences were statistically significant(P<0.05).Conclusion:Micro-drilling to remove nail matrix,reconstruction of sulcus shows a good efficiency in the treatment of ITP,the lesion is cleared thoroughly,high curing rate,rapid healing,low recurrencing rate,satisfactory and worth promoting.

关 键 词：微钻清除甲母质 甲沟重建 部分甲拔除术 甲沟炎 

分 类 号：R667[医药卫生—外科学]